Individual Therapy Intake Form
Thank you for taking the time to complete the intake form for your child’s therapy services at Momentum. We appreciate the opportunity to support your child’s development and look forward to partnering with you in their journey.
Our team will review the information you provided and follow up with you within 1 business day regarding the next steps. If you have any questions in the meantime, please don’t hesitate to reach out to us at MPTNIntake@momentum4all.org or (310) 328-0276.
We are honored to be part of your child’s care team and look forward to working together to help them thrive!